Pmg Mt Broadway Internal Med

LBN: Providence Health & Services Mt
Pmg Mt Broadway Internal Med is an health care organization with primary practice located at 500 W Broadway Street , Missoula MT 59802-4096. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Providence Health & Services Mt can be contacted via phone (406) 327-1940, or through Bodlovic, Kirk via phone 40656437271.

Contact Information

Primary practice address
500 W Broadway Street Missoula MT 59802-4096
Phone: (406) 327-1940
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bodlovic, Kirk
Phone: 40656437271

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1427281203
LBN Legal business name Providence Health & Services Mt
DBA Doing business as Pmg Mt Broadway Internal Med
Authorized official Bodlovic, Kirk
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 27th, 2009
Last updated Nov 26th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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